Individual provider Active NPI

Michael Subik, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lyndhurst, NJ
National Provider Identifier
1003813551
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MD002524 Issued in NJ
Practice address
160 Ridge Rd
Lyndhurst, NJ 07071-1253
Phone
(201) 939-9098
Fax
(201) 939-5614
NPI assigned
Jun 30, 2005
Reactivated
Apr 4, 2006
Last updated
Apr 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X MD002524 NJ Primary

Addresses

Primary practice location

160 Ridge Rd
Lyndhurst, NJ 07071-1253

Mailing address

160 Ridge Rd
Lyndhurst, NJ 07071-1253
Phone (201) 939-9098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120411000700 NJ Practitioner - Podiatry 6002077401 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys General Medical Group PCGroup PAC ID 5496112476, 73 clinicians
SMGH Physician Practice Management LLCGroup PAC ID 6406141480, 3 clinicians

Practice addresses (Care Compare)

160 Ridge Rd
Lyndhurst, NJ 07071-1275
Phone (201) 939-9098

350 Boulevard
Passaic, NJ 07055-2840
Phone (973) 365-4300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue181
Removal of skin lesions1-10
Removal of nail tissue42
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005688NYMDAcupuncturist
MD002524NJMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
SMGH Physician Practice Management, LLC CurrentSince Jun 5, 2021 Accepting new patients
Dr. Michael Subik LLC Foot & Ankle Surgery CurrentSince Jan 15, 2011 Accepting new patients
St Marys General Medical Group PC CurrentSince Jul 1, 2023 Accepting new patients

Locations

1033 Clifton Ave
Clifton, NJ 07013
Phone (973) 473-5700

160 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 933-1480

160 Ridge Rd
Fl 1
Lyndhurst, NJ 07071
Phone (201) 939-9098

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

350 Boulevard
Fl 2
Passaic, NJ 07055

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1003813551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711253",
            "telephone_number": "201-939-9098",
            "fax_number": "201-939-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 RIDGE RD",
            "city": "LYNDHURST",
            "state": "NJ",
            "postal_code": "070711253",
            "telephone_number": "201-939-9098",
            "fax_number": "201-939-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBIK",
        "first_name": "MICHAEL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "MD002524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, NJ

Sources for this page

Verify at the official NPI Registry.